护理干预在改善甲状腺手术患者术后疼痛和负面情绪的效果评价

EVALUATION OF EFFECT ON NURSING INTERVENTION TO IMPROVE NEGATIVE EMOTIONS AND PAIN POSTOPERATIVE IN PATIENTS UNDERWENT THYROID SURGERY

目的评价护理干预在改善甲状腺手术患者术后疼痛和负面情绪的临床效果。方法选取2011年1月—2013年2月在我院行甲状腺手术患者56例作为研究对象并将其随机分为二组,对照组28例常规护理,干预组28例实施护理干预措施。对比观察二组术前干预前(入院时)与干预后(术前晚)的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分;同时观察二组术中血压和心率变化情况;并对比二组术后创口疼痛情况及护理工作满意度。结果二组患者干预前SAS和SDS评分无明显差异(P>0.05),干预组干预后SDS、SAS评分较干预前显著改善且优于对照组(P均<0.05);干预组术中收缩压、舒张压和心率均明显低于对照组,二组比较,差异具有统计学意义(P<0.05);干预组术后总疼痛率均显著低于对照组(P均<0.05);干预组和对照组护理工作满意度分别为:96.4%和67.9%,干预组显著高于对照组(P<0.05)。结论护理干预措施能有效改善甲状腺手术患者术前负面情绪,进而改善术中生命体征而利于疾病的救治与康复,同时可有效改善患者术后的疼痛程度,提高患者对护理工作的满意度。

Objective To evaluate the clinical effect on nursing intervention to improve negattve emo- tions and pain postoperative in patients underwent thyroid surgery. Methods In author＇s hospital, 56 patients underwent thyroid surgery were divided into 2 groups randomly, who were selected range from January 2011 to February 2013. 28 patients of the comparison group underwent conventional therapy and usual care base on the control group, and the nursing intervention measure was applied in the 28 patients of intervention group. The patients of 2 groups were scaled by self-rating anxiety scale （SAS） and self-rating depression scale （SDS）. It was comparative observed what include SDS scores, SAS scores when pre-intervention （admission） and post-intervention （the preoperative night）, changes in blood pressure and heart rate intraoperative,and wound pain conditions and nursing satisfaction postoperative. Results The SAS and SDS scores was no significant difference （P〉0.05） between 2 groups pre- intervention, and it was improved significantly post-intervention in the inter-vention group, and it was better post - intervention in the intervention group than the comparison group. It was lower （P〈0.05） significant in the intervention group than in the comparison group intr-aoperative, when it was tested what include systolic blood pressure, diastolic blood pressure and heart rate. Compared with the comparison group, the total pain rate was lower （P〈0.05） postoperative in the intervention group. The nursing satisfaction were respectively.. 96. 4% and 67. 9% and it was highter （P〈0.05） significant between in the intervention group and the comparison group. Conclusion It will be conducive to the treatment and rehabilitation of the thyroid disease and improve the care satisfaction what is nursing intervention measures, because it can effectively improve negative emotions in patients undergo thyroid surgery,and then further improve the intraoperative vital signs, and since it can improve the degree of pain effectively postoperative.